Date

Time
Started

Ex:8:30am

Time Completed Ex: 9:30am

Daily Total

Activities

Wbre,Y*,, r#, W{{HW&t%fr, mUt!-ftkffi; "ti;tr'ru;ffi{'dAry!ffif

,Mtzasdtn-y,

& Ajlnd,t-Gt'r

f^

U'lWYf

l.'Qfirx,n
Total Hours

WWgff-fi;{,;i
'o,L*rl

;rff}fr,*,4 nk^ luYy@, o s{rY1s'!',* s*resi t,uh 'ff{fiutrAtw

w"

tt*

ffir;W,*:;';trfl;fr.;#,*
pFl,,"&Adrn
uirflrc{, 'n!-lt .

i'fion Lrn P{#

.

&. AS hr:

Signature of Supervising Teacher:

The Student will return this form to School of Education Office, MRC 401. STUDENTS: You wiil not be given credit unless the teacher signs above!

VITERBO UNIVERSITY
SCHOOL OF EDUCATION FIELD EXPERIENCE

D"t" l0/&E I &o i'3\

Month/Datel/ear

has been assigned to your class for observation

and/or participating from:

oays i Il
^A

-t

(*

University Course The student will complete the following log, but may we ask you to verify his/her experience at completion? FIELD EXPERIENCE LOG Daily Activities Time Date Time Total Completed Started Ex: 9:30am Ex: 8:30am

tai1*l i3

d.sfld.,

lliqSqi\

ffiM

G\b._"\ N'r qF.\d$ ,\*I*{ *U*.*"-nt I\F'.J,Sfr" a*rod-^ &* cn- iclm\ ' 'de$ Frl'"L[rU **s -3.\v* k -' Potoq\tb{itt -*fut! 8l&tftf ,, ttustWc t--r &(til!-'{ )H, t*'it't'tt:,l,*u dC nr't.hr&,":,q(ctt{ (.."q C6u'1 nc tt!): il '. 'r, " \ur* -l-HIi;;.'-., re"r.tr'u^ P!'J+

..L-kr-ct,b.iJ'

ekL&r\k, h*u) t\c$*P.

ft"6il;^ :E

*\ry*",.1

Y*

ur

w{Ell, \YLu-rch e"}kcd -$r-n u*" q.uuohaA,e rrrrrH c\-u(A G; rcnkT}\,O

"m--NuM W**,t f#lfrteW,', fr ffiWy,W.-J {;trilltr { i{yu* ;M"'f,*t*,

;um,L-uJ'norUs..fu
Jn

I \x-

Ln

-ilnt

r*,*,,., l

"

ffu"iw'. Jr*rd. -flt rfiwqa

r,tftfu.ni Io

"C\4tt rt6fi "

Students: Falsification of field experience records may lead to dismissal from the program.

Time
Started

Ex:8:30am

Time Completed Ex: 9:30am

- Afl&\1,4 WrW!,/WLA - lnarn

Wffi
-ux-

,dad,*wetl- "W $l*dq 4, 0'n /aa* cratrt-owt "ir:ii7 h*w W r/,'d Lul k,d iar;:rt- &ud,'/ ' ' i":rng,h" ,"M,ry: lw ^#3Y,:*,
-rirl lnflrhA Wnfrfdaw<1 ' X,_; n! dbnut-{,UjlN

^_o

Total

Hours

,frh

Signature of Supervising Teacher:

The Student will return this form to School of Education Office, MRC 401. STTIDENTS: You will not be given credit unless the teacher signs above!

VITERBO UNIVERSITY
SCHOOL OF EDUCATION FIELD EXPERIENCE

o.t" {C,I.{ct /3c

trlohth/Dat6rYear

&}t{Yr,Lic1

,_

has been assigned to your class for observation

,rr,

/1 - T
I I -J-{-/t ' }....#\.L-'-

Time 15**!Vr'.Kuv\dl..v,:L' lrv.*-'

lJlllvElJlty VUU|os Course University

The student will complete the following log, but may we ask you to verify his/her experience at completion? FIELD EXPERIENCE LOG Daily Activities Time Date Time Total Completed Started Ex: 9:30am Ex: 8:30am

sl#r/i 3

h,LLrrrT

*.ro*ucG.*i

t*[fq:u,r-^\i:,4\cr*** r ,-t* t+}f

oitt

r-^-rzfitl,tril

\-:

..r,1

Ly

iiJ iYret'Ltt a+LLtri\'1'\ - /rfttr {it't-tu lttt ,t Lc,-\r 1r..1 1.,r\'.1 ,o ld tli *-ltu[c.( {*,t':-Lt-{t;\' .cirg-l t- \1:u tg(
-

c' 'a),.-t't-

{1

"CK

tri

i'' rr\S:\(,\ \."\? t'.;.-{tt t,rL[ {'-- ,,jt'l[ +hi(i iuultt]

rl,tr* .'.{4'*,1"11l^ c;!:.r*,ttti p, mrnt lyttltlti"i

r\fi*

,*fit Ui.j 11tt'4 Wlt'it't ^"#iffi, w htu t.ic&/?: 'rd

riilrut
-

*:,

.,

'h l,A,gl -r*k'LlU*A i-tfrrltt"i\t {J$ -t,l,ti'g-u ar'!. ,9:ri'&'"t'fi4 {':T\ t^l i'w'
i

6'1*a

{ttw'rr- ttnliffWyu &,rt iiilX1. .[\t{y*t)

ft.r,*liStfiiY) ILIL{H#[

Students: Falsification of field experience records may lead to dismissal from the program.

Date

Time
Started Ex: 8:30am

Time Completed Ex:9:3Oam

Daily
Tota1

Activities

;,7
etfrtu

uiden

il**

itu &cLunr-tq t

-"if,ki,;".i,6

Ue,e^^tr ? Ult\r* tPu'ut$dn\ t$.<,

;. \I- fu\ tr"tto\.

Jtbe,l"\:
- *-A*

hr-"'-n {rU*,'r

W,"u

fr,ui&rr lh,.
Total

Hours \

Signature of Supervising Teacher:

The Student will return this form to School of Education Offtce, MRC 401. STUDENTS: You wilt not be given credit unless the teacher signs above!

VITERBO UNIVERSITY
SCHOOL OF EDUCATION FIELD EXPERIENCE

lDleq
,

lrcl

laf

*f ;ot

Month/Datd/Year

Student ID#

has been assigned to your class for observation

and/orparticipating

rrom:

a^vr fi4- |
University Course

tS ,, Jr?tllr#
Time
0

The student will complete the following log, but may we ask you to verify his/her experience at completion? FIELD EXPERIENCE LOG

1Dlffiln

lirq *jIE^A rx,[c -!.r+::11 [sr \mn&r . r -_ i i". )iqa,.U-{ {- qor qtu&<s+{+.-r
- fnt

ur NUr": I \ql {1.s-\ vl \.s-+le-r-r, {i tV\rut-\ tg+re-n,I rt.. &\L "\*u d^-utrXu',^rusli"s-1 dALC\V\"Uth\ L*n

i^I\J-\ ' "-.^

tSlnu'V
UP\-*\v.Jd

rr^y$q'

*\U-

:$x,:s**,ilHtil=
,(',
aX-,

q\*\d S:^r

*J;;;iit* y$*
,,'uaolr;{,

t Lr{\r,(r, (Li.L t1-\ \i-;-vrlyto

. d\/
\

5s -"p[d
1t;t

u{

l0Felii K:tcrun

--Ici-w*L\ ,11u Ui"f*:-r \. \

- & plL{lscut\
.-Jivr.r

!\e- ,ti-\tcd.uLLd"'vYtL ct-ffLt-!"]*

\$1,1. l

tr

i$\ccg Lt[1,\A.

,"]*KiLt i*\a
!

!-

,l t

t\*sLLl.l#

l+'v >tut!.i'r-drr Yoi'iiysl;:'* I'k*:H

^

LLr\d .\!Lr& d<, r'*\,

\-\"'n- $'1l-{r.
&.Lfl'c[

il

s!'*tl-rr*r hi.typ \^&ri[ c,iU r[, s\r$iu

Students: Falsification of field experience records may lead to dismissal from the program.

Date

Time
Started

Ex:8:30am

Time Completed Ex: 9:30am

Daily Total

Activities

- \Y\hcdtt*-d

-'r,Gq:-\ur D\.1pP.tS" - WLu{- dt iQ t\i*un5 *i,{ Ll tEua-N\+ "

tci-h

t+*

ll' 6c,-rn 3f1

Total Hours
Signature of Supervising Teacher: ification
) School:

. '1L. \!I J

{h/

The Student will return this form to School of Education Office, MRC 401. STUDENTS: You will not be given credit unless the teacher signs above!

SCHOOL OF EDUCATION FIELD EXPERIENCE

D5efiDLIC1
Student lD#

has been assigned to your class for observation

and/or participatins

rrom: l)tH lCAf)

Time

o"v=

I[

-']

Mdlrtll/ljdtefrear

t,

I3-l

Cq /3 e

Monttvuate/year

University Course The student will complete the following log, but may we ask you to verify hislher experience at -' completion? FIELD EXPERIENCE LOG Daily - Activities Time Date Time Total Completed Started Ex: 8:30am Ex: 9:30am

tal1olt1

{t,l*w

.--v{,url\u,j \t$y.i r

='\I{L.r*

,ul.i\rFli*.rt

NPS* -ffititruekd.dP
cL

RL\'sut-- LM$&dL rn
CI.Us**

crn^'i'lru+rgtLs#t'q\' - Lil\+t \,Ury["t.*\,--a N&"roC.L t&o

tlr

N.\rwn aLlr0t
t(.xlu#ri +"

r{rL$,vl7 - "'J't*u F$guLdPg "

"-<rir&erfuna.t

Students: Falsification of field experience records may lead to dismissal from the program.

Date

Time
Started

Ex:8:30am

Time Completed Ex:9:30am

Daily Total

Activities

Id,L \l{\s"t

-i,L

I
fr1

al

/L

e{*r-$i'!
t)

crE

x.t-tt :Y "rrc{
a

')hr+.

I r< ,;.gc,.ES (frl.,."1 ,qAf rryrcn

s-E<r-i'r'pLaJ

tis

ilt5
Total Hours
Signature of Supervising Teacher:

"A

School:

The Student will return this form to School of Education Office, MRC 401. STUDENTS: You will not be given credit unless the teacher signs above!

VITERBO UNIVERSITY
SCHOOL OF EDUCATION FIELD EXPERIENCE

has been assigned to your class for observation

and/or participating from:

to l"ili'{ri+<-t3 ffiry"",.
-},J

L[*,
The student will complete the following log, but may we ask you to verify his/her experience at
completion? Date Time Started Ex: 8:30am
:

FIELD EXPERIENCE LOG Daily Activities Time Total Completed Ex: 9:30am

iilc*lr

.) L-LililY\

\ \r,-t {"tr-rit''--'i,1"u..--iv,-rCt' ) uirt tY \" - trr",ur*Lttq c' . ti,t\:,+' lii \[t,r(b \i.l.t ,l ,,[ ,ir:t,1.., L1.q,1-q\,.,.'-\ -<JL tird*vre\ i n ru{tr{rN '\-t ,.'\t:t-i\J Lu'rt\ t. r' i L+tLvi:t'-Ct -\-.tt {l ;-..\'iL \*i L t ut ,kottt':. ;;i"-,,.'-"-*\rt').,i.-,*i,1,,1i
i'Ji-)

t*\rt-ttu i'lit'\(r\r\- \lt

..+Lr-u,.i

\lu.lv

[:,r-r*\

?,eUr-l ta

frr\\'\)i11 \\tu',1 : t-fi\\ \(*,i- rvl.r{,c'*,Lrl: .4.'u' i.',;.. r'r rr- i'c'q \-tt {'t' v lLr tth'\t'' i,.tl tN\ ? -r l.r!: teltr\'r I :''-*'' "-rV,i{}t /,L ,;r,tt*t.(&n *v'.;ri.slie t*i t b. ru/ Ji-ii)rlf chg,*171'Lr{.1 aJq.l t-}}", -\ j t\: ( I J*'GIiILI,L+ 1,:.- ,lrr'.n -i'\,r,t.,--i'+ ,ttr [r Yr'r', c'*'\ r,-'.1 \:-\t"StcEtL' n"t-- \*i,,., 41, [\rrrr ,'*.'t*t'tt-ft" l"tlp.,a.,trt,I r i..-t,',1 tt\t[-tt i -i't ,n i r.;- i i'irru{t[ i. I tr-t t(-, I]," t +-'i.'' , .".\g 1 ' )*t L,i ',)-r I {' l, *1," in*+: ,, l':'' ,r'i'f i L'-d (r' t-[1'1';i1 t r' r', l':1' l^ ,i \- l,-. l\' " i;ff l.i.ur I *ril,r,,-r i rr.-L rll ui i lur:\t '{r,d:,,q r,t c{L,U't.ft ) (t.' c',r q i h rl-h-*n g r qtr" q .-u',11rW-a.nnyh't--"q) It-, -< iro:t{ :y t,tt- r g-rl\( [ l',ria.-.lr"a.\
r1
t-1
I .

t .tl:\'.L\ "

i:i \ t" i\ -'.'- \,\ r-\

'.tr-(

^''\\'-t rt i., \,\-o t*' t' ' "-\

i'iLt\
r'r

tr'

"

E,

r 11

Students: Falsification of field experience records may lead to dismissal from the program.

Date

Time
Started

l{dl/2

Ex:8:30am fi, ,c cuvnr

1

Time Completed Ex: 9:30am

Daily Total

Activities

..$.Ir-rLU.*r

t-t...

,\Slt\U$

T-\
Q,OCa-r-r

"f:hr

ttlttlt: B. t{^.*r

*'fi1t( !l*i, ottwL ,'olrtdnfl :;W ^.W;;!i1-\h,,lu LU/',',.,: Ly(tt,ttuttwL th"'M

W,\"1r,.7, ,tru ,Ln *i*'lr-r,'"'' ,L,\ ,L') wl t ,.,11;ur{ r-(c{ c.xt+(t1L La-ttgylr\-

hr)'*\n:.*\
fr

tt-\-Lli\'Vtn \fu'

"v\r.t-vr,,-du,J"C;t !$U(i-L'rt fi\Ct-Yr1i

'-uu(r^.$-tt

,;;,4

1,u'1u'\t -a-{lcc--i'iLa

[[*Jeis$'$'*h.ffiTtiii;l jtUTL[It ,-u.'+tJ{i[rr. u\ t - b{Y']

NF1,.': *tD

wrm'fsri"Hffi:ki )
*t
u\-t ct-V$t

l(,,I -.J'"
itr-f,t

tcflcr-{s-r1
r

\,"
Total Hours

Dr,tr,ir

"b

i."r

$it,f,"u$Lrsv3l(+h\t?"s,-r-:

Vt

oQ,'ilS

Signature of Supervising Teacher:

School: ( .a,-c'* l1 ,',. ' (') /

,,

of hours and experience)

The Student will return this form to School of Education Office, MRC 401. STUDENTS: You will not be given credit unless the teacher signs above!